Self-Assessment

1. In the last two weeks, have you been in close contact with someone who has COVID-19? —excluding people who have had COVID-19 within the past 3 months.

You have been in close contact if you have:

• Been within 6 feet of someone who has COVID-19 for a combined total of 15 minutes or more over a 24 hour period or
• Provided care at home to someone who is sick with COVID-19 or
• Had direct physical contact (hugged or kissed) with someone who has COVID-19 or
• Been sneezed on our coughed on by someone who has COVID-19
• In the last 10 days, have you experienced any of the symptoms listed below?
• Fever or feeling feverish (such as chills, sweating)
• Cough
• Mild or moderate difficulty breathing (breathing slightly faster than normal, feeling like you can’t inhale or exhale, or wheezing, especially during exhaling or breathing out)
• Sore throat
• Muscle aches or body aches
• Unusual fatigue
• Headache
• New loss of taste or smell
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea

If answered yes to either questions- the summary at the end can state something along the lines:

Your answers indicate that you should call your primary healthcare provider and describe your symptoms and/or your contact with someone who’s been diagnosed.

Be sure to indicate if you:

• Suffer from a chronic health problem, such as diabetes, heart disease, cancer, or lung disease
• A healthcare worker who has been interacting with patients who may have COVID-19
• Are immunocompromised

We encourage you to schedule an appointment for FREE COVID testing here “insert link for scheduling a COVID-19 test” and stay home and away from others, except to get medical care, until:

• it has been 10 days* from when your symptoms first appeared and
• you have had no fever for 24 hours without the use of medications and
• your other symptoms of COVID-19 are improving*

*If you have a weakened immune system (immunocompromised) due to a health condition or medication, you might need to stay home and isolate longer than 10 days and possibly 20 days after symptoms begin. In some circumstances, further testing may be needed. Talk to your healthcare provider for more information.

For people who are fully vaccinated: Although the risk of being infected with the virus that causes COVID-19 is low if you are fully vaccinated, you should get tested and follow the same instructions listed above.

If you are currently experiencing any of these issues, Call 911

• Severe difficulty breathing
  (struggling for each breath, can only speak in single words)
• Severe chest pain
  (constant tightness or crushing sensation)
• Feeling confused or unsure of where you are
• Losing consciousness